SEGIP 2019 Rate Guide - mn.gov · 2019 Rate Guide For Health, Dental, Life, and Disability Insurance . State Employee Group Insurance Program . Contents Page . INSTRUCTIONS. 1 –

Health, Dental, Life, and Disability Insurance Rate Guide

Plan year 2020

Table of Contents

Instructions ...................................................................................................................................... 1

Health Coverages by Union Code (A) ............................................................................................... 2

Dental Coverages by Union Code (B) ............................................................................................... 2

Availability by county ....................................................................................................................... 8

2020 Health Plan Rates .................................................................................................................... 9

2020 Dental Plan Rates .................................................................................................................. 14

2020 Life Plan Rates ....................................................................................................................... 18

2020 Disability Plan Rates .............................................................................................................. 19

1

Instructions

Follow the directions below and use this Guide to find the health and dental insurance premiums for employees. The rate section lists the rate broken down, semi-monthly and monthly. In most cases you will want to know the semi-monthly rates. (IBU’s note: We will bill you the monthly rate.)

Health Rates

1. Select the Bargaining Unit and Union Code and the appropriate Employment Condition for employee from the Health Coverages by Bargaining Unit chart.

What section number is indicated for that bargaining unit and employment condition?

_______________

2. Go to the letter section indicated for that bargaining and employment condition. This will give you the exact rate for that employee.

Dental Rates

1. Select the Bargaining Unit and the appropriate Employment Condition for employee from the Dental Coverages by Bargaining Unit chart.

What section number is indicated for that bargaining unit and employment condition? _________________

2. Go to the letter section indicated for that bargaining and employment condition. This will give you the exact rate for that employee.

2

2020

This chart shows the Employer (ER) contribution by Bargaining Unit and union code.

Health Coverages by Union Code (A) Dental Coverages by Union Code (B)

201 (LEA) Law Enforcement

Employment Condition Health Section

Dental Section

Full-time (75-100%) A1 B1 Insurance eligible - no ER contribution A4 B4 Note: No part-time employer contribution na na

202 (AFS) Craft, Maintenance & Labor


Dental Section

Full-time (75-100%) A1 B1 Part-time (50-75%) A2 B2 Insurance eligible - no ER contribution A4 B4

203 (AFS) Service


Dental Section


204 (AFS) Health Care Non-Professional


Dental Section


205 (MNA) Nurses


Dental Section


3

206 (AFS) Clerical


Dental Section


207 (AFS) Technical


Dental Section


208 (AFS) Correctional Guards


Dental Section


209 (IFO) State University Faculty


Dental Section


210 (MSC) MN State College Faculty


Dental Section


211 (MSU) State University—Administrative and Service Faculty


Dental Section


4

212 (GEC) Minnesota Government Engineering Council


Dental Section


213 (UNR) Health Treatment Professional—Commissioner’s Plan


Dental Section


214 (MAP) Minnesota Association of Professional Employees


Dental Section


215 (SRS) Professional State Residential Instructor


Dental Section


216 (MMA) Middle Management Association


Dental Section

Full-time (75-100%) A1 B1 Part-time - (50-75%) A2 B2 Insurance eligible - no ER contribution A4 B4

217 (UNR) Commissioner’s Plan


Dental Section


5

219 (UNR) Not in Unit—Severed MS179


Dental Section

Full-time (75-100%) A1 B1 Part-time (50%) A2 B2 Insurance eligible - no ER contribution A4 B4

220 (UNR) Excluded Managerial Plan


Dental Section


221 (UNR) Excluded—All other


Dental Section


222 (UNR) Agency Exclusive


Dental Section


223 (UNR) Unclassified


Dental Section


225 (AFS) Public Safety Radio Operator


Dental Section


6

300 (MTP) Public Defense Assistant Attorney


Dental Section


301 (MTP) Public Defense Support Staff


Dental Section


308 (UNR) Public Defense/Unrepresented Personnel


Dental Section


309 (UNR) Public Defense/Unrepresented Managers


Dental Section


330 (A65) Judicial – AFSCME 65 Clerical/Technical


Dental Section


331 (MTP) Judicial – Teamsters Clerical/Technical


Dental Section


7

332 (JCR) Courts – Teamsters 320/Court Reporters


Dental Section


334 (A14) Courts – Teamsters AFSCME Council 14


Dental Section


(Z01-Z27) IBU’s


Dental Section


Note: See plan covering employee for appropriate employer contribution for part-time employees.

8

Availability by county

Health

The Minnesota Advantage Health Plan is available in all counties of Minnesota. However, the availability under each carrier may differ slightly.

BlueCross BlueShield and HealthPartners offer the Advantage Plan in all counties of Minnesota. PreferredOne offers the Minnesota Advantage Plan in all counties of Minnesota, except for Houston County, which is partially available.

Each carrier offering the Minnesota Advantage Health Plan also provides a National Preferred Provider Organization (PPO) for members who permanently reside outside the state and the service area (bordering counties) of Minnesota. Please check with the carriers if you require access to the PPO, as not all carriers offer PPO’s in every state.

Dental

The State Dental Plan, administered by Delta Dental offers total coverage in all counties of Minnesota.

The HealthPartners State of Minnesota Dental Plan offers total coverage in all counties of Minnesota.

Section A

2020 Health Plan Rates

10

2020 Health Plans

Full Employer Contribution

All Union Codes/Bargaining Units

Monthly Rates Employee Coverage Dependent Coverage Family Coverage

Health Plan Total State Employee Total State Employee Total State Employee

Advantage BlueCross 700.72 665.68 35.04 1359.88 1155.90 203.98 2060.60 1821.58 239.02

Advantage HealthPartners 700.72 665.68 35.04 1359.88 1155.90 203.98 2060.60 1821.58 239.02

Advantage PreferredOne 700.72 665.68 35.04 1359.88 1155.90 203.98 2060.60 1821.58 239.02

Semi-Monthly Rates Employee Coverage Dependent Coverage Family Coverage





Section A-1

11

2020 Health Plans

75.00% Employer Contribution

Union Codes: AFS, A14, A65, GEC, IFO, JCR, MMA, MNA, MSU, MTP, SRS, UNR, Z01-Z27











Section A-2

12

2020 Health Plans


Union Codes: MAP, MSC











Section A-3

13

2020 Health Plans




Advantage BlueCross 700.72 0 700.72 1359.88 0 1359.88 2060.60 0 2060.60

Advantage HealthPartners 700.72 0 700.72 1359.88 0 1359.88 2060.60 0 2060.60

Advantage PreferredOne 700.72 0 700.72 1359.88 0 1359.88 2060.60 0 2060.60



Advantage BlueCross 350.36 0 350.36 679.94 0 679.94 1030.30 0 1030.30

Advantage HealthPartners 350.36 0 350.36 679.94 0 679.94 1030.30 0 1030.30

Advantage PreferredOne 350.36 0 350.36 679.94 0 679.94 1030.30 0 1030.30

Section A-4

Section B

2020 Dental Plan Rates

14

2020 Dental Plans

Full Employer Contribution

All Union Codes/Bargaining Units



State Dental Plan (Delta) 40.74 27.24 13.50 79.80 39.90 39.90 120.54 67.14 53.40

HealthPartnersState of MN Dental Plan

40.74 27.24 13.50 79.80 39.90 39.90 120.54 67.14 53.40





20.37 13.62 6.75 39.90 19.95 19.95 60.27 33.57 26.70

Section B-1

15

2020 Dental Plans


Union Codes: AFS, A14, A65, GEC, IFO, JCR, MMA, MNA, MSU, MTP, SRS, UNR, Z01-Z27





40.74 20.44 20.30 79.80 29.94 49.86 120.54 50.38 70.16





20.37 10.22 10.15 39.90 14.97 24.93 60.27 25.19 35.08

Section B-2

16

2020 Dental Plans


Union Codes: MAP, MSC





40.74 13.62 27.12 79.80 19.96 59.84 120.54 33.58 86.96





20.37 6.81 13.56 39.90 9.98 29.92 60.27 16.79 43.48

Section B-3

17

2020 Dental Plans




State Dental Plan (Delta) 40.74 0 40.74 79.80 0 79.80 120.54 0 120.54


40.74 0 40.74 79.80 0 79.80 120.54 0 120.54



State Dental Plan (Delta) 20.37 0 20.37 39.90 0 39.90 60.27 0 60.27


20.37 0 20.37 39.90 0 39.90 60.27 0 60.27

Section B-4

2020 Life Plan Rates

18

2020 Life Plans

Basic Life Insurance

Monthly Rates LIFE PLAN Total State Employee Basic Employee Life — MMLB 10.60 10.60 0.00 Manager’s Life – 2.0 X — MLMB 57.78 57.78 0.00 Manager’s Life – 1.5 X — MLMA 39.66 39.66 0.00

Semi-Monthly Rates LIFE PLAN Total State Employee Basic Employee Life — MMLB 5.30 5.30 0.00 Manager’s Life – 2.0 X — MLMB 28.89 28.89 0.00 Manager’s Life – 1.5 X — MLMA 19.83 19.83 0.00

Optional Employee or Spouse Life Insurance Per $5,000 in Coverage

Age of Employee or Spouse MONTHLY SEMI-MONTHLY under age 30 0.30 0.15 age 30 - 34 0.40 0.20 age 35 - 39 0.46 0.23 age 40 - 44 0.56 0.28 age 45 - 49 0.96 0.48 age 50 - 54 1.76 0.88 age 55 - 59 2.76 1.38 age 60 - 64 4.50 2.25 age 65 - 69 7.26 3.63 age 70 – 74 11.76 5.88 age 75 – 79 19.00 9.50 age 80 – 84 30.76 15.38 age 85 – 89 61.50 30.75

Child Life Insurance

Coverage Amount MONTHLY SEMI-MONTHLY $10,000 0.84 0.42

Accidental Death and Dismemberment Insurance Cost For $5,000 in Coverage

MONTHLY SEMI-MONTHLY 0.16 0.08

2020 Disability Plan Rates

19

2020 Disability Plans Short-Term Disability Insurance

monthly benefit semi monthly monthly 300 2.55 5.10 400 3.40 6.80 500 4.25 8.50 600 5.10 10.20 700 5.95 11.90 800 6.80 13.60 900 7.65 15.30

1000 8.50 17.00 1100 9.35 18.70 1200 10.20 20.40 1300 11.05 22.10 1400 11.90 23.80 1500 12.75 25.50 1600 13.60 27.20 1700 14.45 28.90 1800 15.30 30.60 1900 16.15 32.30 2000 17.00 34.00 2100 17.85 35.70 2200 18.70 37.40 2300 19.55 39.10 2400 20.40 40.80 2500 21.25 42.50 2600 22.10 44.20 2700 22.95 45.90 2800 23.80 47.60 2900 24.65 49.30 3000 25.50 51.00 3100 26.35 52.70 3200 27.20 54.40 3300 28.05 56.10 3400 28.90 57.80 3500 29.75 59.50 3600 30.60 61.20 3700 31.45 62.90 3800 32.30 64.60 3900 33.15 66.30 4000 34.00 68.00 4100 34.85 69.70 4200 35.70 71.40 4300 36.55 73.10 4400 37.40 74.80 4500 38.25 76.50 4600 39.10 78.20 4700 39.95 79.90 4800 40.80 81.60 4900 41.65 83.30 5000 42.50 85.00

*You may enroll in short-term disability in amounts up to 2/3 of your gross monthly salary.

20

2020 Disability Plans

Long-term disability insurance

gross annual salary

max monthly benefit from all sources

max monthly benefit payable monthly cost

semi monthly cost

6,001 6,500 300 300 1.62 .81 6,501 7,000 350 350 1.89 .95 7,001 8,000 400 400 2.16 1.08 8,001 9,000 450 450 2.43 1.22 9,001 10,000 500 500 2.70 1.35 10,001 11,000 550 550 2.97 1.49 11,001 12,000 600 600 3.24 1.62 12,001 12,500 650 650 3.51 1.76 12,501 13,000 700 700 3.78 1.89 13,001 14,000 750 750 4.05 2.03 14,001 15,000 800 800 4.32 2.16 15,001 16,000 850 850 4.59 2.30 16,001 18,000 900 900 4.86 2.43 18,001 19,000 950 950 5.13 2.57 19,001 20,000 1,000 1,000 5.40 2.70 20,001 22,000 1,100 1,100 5.94 2.97 22,001 24,000 1,200 1,200 6.48 3.24 24,001 26,000 1,300 1,300 7.02 3.51 26,001 28,000 1,400 1,400 7.56 3.78 28,001 30,000 1,500 1,500 8.10 4.05 30,001 32,000 1,600 1,600 8.64 4.32 32,001 34,000 1,700 1,700 9.18 4.59 34,001 36,000 1,800 1,800 9.72 4.86 36,001 38,000 1,900 1,900 10.26 5.13 38,001 40,000 2,000 2,000 10.80 5.40 40,001 42,000 2,100 2,100 11.34 5.67 42,001 44,000 2,200 2,200 11.88 5.94 44,001 46,000 2,300 2,300 12.42 6.21 46,001 48,000 2,400 2,400 12.96 6.48 48,001 50,000 2,500 2,500 13.50 6.75 50,001 52,000 2,600 2,600 14.04 7.02 52,001 54,000 2,700 2,700 14.58 7.29 54,001 56,000 2,800 2,800 15.12 7.56 56,001 58,000 2,900 2,900 15.66 7.83 58,001 60,000 3,000 3,000 16.20 8.10 60,001 61,000 3,100 3,100 16.74 8.37 61,001 62,000 3,200 3,200 17.28 8.64 62,001 63,000 3,300 3,300 17.82 8.91 63,001 64,000 3,400 3,400 18.36 9.18 64,001 65,000 3,500 3,500 18.90 9.45

21

gross annual salary

max monthly benefit from all sources

max monthly benefit payable monthly cost

semi monthly cost

65,001 67,000 3,600 3,600 19.44 9.72 67,001 69,000 3,700 3,700 19.98 9.99 69,001 71,500 3,800 3,800 20.52 10.26 71,501 73,000 3,900 3,900 21.06 10.53 73,001 75,000 4,000 4,000 21.60 10.80 75,001 77,000 4,100 4,100 22.14 11.07 77,001 79,000 4,200 4,200 22.68 11.34 79,001 81,000 4,300 4,300 23.22 11.61 81,001 83,000 4,400 4,400 23.76 11.88 83,001 85,000 4,500 4,500 24.30 12.15 85,001 87,000 4,600 4,600 24.84 12.42 87,001 89,000 4,700 4,700 25.38 12.69 89,001 91,000 4,800 4,800 25.92 12.96 91,001 93,000 4,900 4,900 26.46 13.23 93,001 96,000 5,000 5,000 27.00 13.50 96,001 98,000 5,100 5,100 27.54 13.77 98,001 100,000 5,200 5,200 28.08 14.04 100,001 102,000 5,300 5,300 28.62 14.31 102,001 104,000 5,400 5,400 29.16 14.58 104,001 106,000 5,500 5,500 29.70 14.85 106,000 108,000 5,600 5,600 30.24 15.12 108,001 110,000 5,700 5,700 30.78 15.39 110,001 112,000 5,800 5,800 31.32 15.66 112,001 114,000 5,900 5,900 31.86 15.93 114,001 116,000 6,000 6,000 32.40 16.20 116,001 118,000 6,100 6,100 32.94 16.47 118,001 120,000 6,200 6,200 33.48 16.74 120,001 122,000 6,300 6,300 34.02 17.01 122,001 124,000 6,400 6,400 34.56 17.28 124,001 126,000 6,500 6,500 35.10 17.55 126,001 128,000 6,600 6,600 35.64 17.82 128,001 130,000 6,700 6,700 36.18 18.09 130,001 132,000 6,800 6,800 36.72 18.36 132,001 133,500 6,900 6,900 37.26 18.63 133,501 135,500 7,000 7,000 37.80 18.90

*The maximum benefit from all sources is the most you can expect to receive from all sources of disability income, including but not limited to, state disability retirement, workers’ compensation, Social Security and any other income you may receive.

22

2020 Disability Plans

Manager’s Long-Term Disability Insurance

Monthly – Per $100 Monthly Salary

Plan Total State Employee Plan A 150 Day .22 .22 .00 Plan A 120 Day .24 .22 .02 Plan A 90 Day .26 .22 .04 Plan A 60 Day .29 .22 .07 Plan A 30 Day .32 .22 .10

Plan B 150 Day .22 .00 .22 Plan B 120 Day .24 .00 .24 Plan B 90 Day .26 .00 .26 Plan B 60 Day .29 .00 .29 Plan B 30 Day .32 .00 .32

Plan A = 1 ½ x salary for life insurance

Plan B = 2x salary for life insurance

Documents

SEGIP 2019 Rate Guide - mn.gov · 2019 Rate Guide For Health, Dental, Life, and Disability Insurance . State Employee Group Insurance Program . Contents Page . INSTRUCTIONS. 1 –